摘要
目的应用微创技术治疗胫骨平台骨折,观察疗效,为临床提供胫骨平台骨折治疗的最佳方案。方法36例因交通伤、高处坠落伤及跌倒扭伤致胫骨平台骨折患者,男24例,女12例；年龄19～64岁,平均42．6岁。按Schatzker分型：Ⅰ型7例,Ⅱ型5例,Ⅲ型5例,Ⅳ型5例,Ⅴ型7例,Ⅵ型7例,分别进行不同微创手术治疗。结果随访35例,随访时间8～24个月,所有患者均在3～4个月内骨性愈合,未出现切口愈合不良、深部感染和骨筋膜间隔综合征等早期并发症,也未出现创伤性关节炎和膝关节内、外翻畸形。平均关节活动度为屈曲94°,膝关节功能按Merchant评分,优良32例(91．4%)。结论胫骨平台骨折治疗应以有限切开、间接复位、生物学固定代替以往的广泛暴露、坚强钢板固定。微创治疗是胫骨平台骨折安全、有效的治疗方法。
Objective To investigate the clinical results of minimal invasion spinal surgery （MISS） in treating tibial plateau fractures to provide best procedure for such treatment. Methods The study involved 36 cases with tibial plateau fractures resulted from traffic injury, fall-from-height injury and strain injury including 24 males and 12 females at age of 19-65 years （ average 42.6 years）. According to Schatzker classification, there were seven cases of type Ⅰ , five type Ⅱ , five type Ⅲ, five type Ⅳ, seven type Ⅴ and seven type Ⅵ. All cases were treated by different methods of MISS. Results Follow up for 8-24 months in 35 cases showed fracture healing within 3-4 months, without severe complications such as poor wound healing, infection or osteofascial compartment syndrome. Meanwhile, no traumatic knee osteoarthritis, inversion or eversion of the knee were found. The mean range of knee motion was 94°, with fine knee function in 32 cases （91.4%） according to Merchant score. Conchusions Treatment of tibial plateau fractures should adopt limit incision, indirect reduction and biofixation to take place widespread exposure and rigid plate fixation. MISS is safe and effective for tibial plateau fractures.
出处
《中华创伤杂志》
CAS
CSCD
北大核心
2006年第6期417-419,共3页
Chinese Journal of Trauma
关键词
胫骨骨折
骨折固定术
内
外科手术
最小侵袭性
Tibial fractures
Fracture fixation, internal
Surgical procedures, operative
Minimally invasive
